Individual
CARL CHANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
442 W HIGH ST, SUITE 2, BRYAN, OH 43506-1681
(419) 636-3163
(419) 636-5037
Mailing address
442 W HIGH ST, SUITE 2, BRYAN, OH 43506-1681
(419) 636-3163
(419) 636-5037
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30019669
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
025860
CARL CHANEY - UCCI
OH
05
—
0924441
—
OH
01
—
30019669
CARL CHANEY- DELTAL DENTA
OH
Enumeration date
09/29/2006
Last updated
07/09/2007
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